Psychodynamic Psychotherapy Process Research: A quick ride through what you should know about process (research)

This paper gives an overview of psychoanalytic process research, which brings to light the complexity of psychotherapy sessions. This complexity is so rich that many instruments intended to make the process measurable failed in the past because they initially used a strategy of complexity reduction. This method however did not help to further our understanding of the complexity involved. Three former presidents of the Society for Psychotherapy Research (Stiles, Hill, Elliot 2015) decided to solve the following equivalence paradox: many therapies work successfully though they all follow different theories, produce a heterogeneity of processes and often enough a misfit between what theories maintain to be a good process and their realization in the treatment room. As theories are often compared to maps, a driver would wonder which route to take. But therapists‐as‐drivers go undaunted ‐ and nevertheless achieve their goals together with their patients. Norcross and Wampold (2018) found that good therapists invent new therapies with every new patient. They hypothesize that it is because of conversation. This is in accord with the 3 former presidents’ proposal to return to detailed single case analyses including the micro‐analytic power of conversation analysis of which a few insights are outlined in this article.     

Mourning the person one could have become: The existential transition for the psychotherapy clients experienced by abuse or neglect

Mourning the “Person One Could Have Become” (POCHB) is an existential transition for traumatized individuals. In order to survive, they tend to mystify their existence, hoping that one day they will eventually turn into POCHB. POCHB is conceptualized as personality and physical characteristics that could have emerged if an individual at the right time had received an appropriate quantity and quality of nurturing and developmental stimuli, which consequently would have enabled the person to make more mature choices. The process of mourning the POCHB is part of the group therapy. The role of the therapist in facilitating such mourning is discussed. Possible obstacles to the process of mourning are depicted. Theoretical assumptions are illustrated with cases of two clients.